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NPI 1518185982 · Bozeman, MT · Sports Medicine (Orthopaedic Surgery) Physician
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Peter Kelleher is a sports medicine (orthopaedic surgery) physician provider located in Bozeman, Montana. This profile covers 23 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Peter Kelleher |
| Address | 536 Cottonwood Rd |
| City | Bozeman |
| State | MT |
| ZIP | 59718 |
| Taxonomy | Sports Medicine (Orthopaedic Surgery) Physician |
| NPI Enumerated | April 23, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $92.6K |
| Medicaid | $25K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
23 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 310 | $60 | $20.1K |
| 23472 | In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider… | 10 | $1,150 | $12.6K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 140 | $80 | $11.7K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 100 | $100 | $9.2K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 30 | $310 | $7.7K |
| 73221 | In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or… | 40 | $140 | $5.4K |
| 23430 | In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.… | 10 | $380 | $4.2K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 140 | $30 | $3.9K |
| 73010 | The provider performs a complete X–ray study of the scapula (shoulder blade) to assess a fracture or other injury and conditions like arthritis, bone spurs, tumors, or congenital abnormalities. | 140 | $20 | $2.6K |
| 73140 | In this diagnostic procedure, the provider performs a radiological study of one or more fingers. He performs two or more views. | 90 | $30 | $2.5K |
Showing 1–10 of 23
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
23 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 64721 | 17 | 20 | 60 | $400 | $20.5K |
| 23472 | 32 | 30 | 20 | $720 | $18.8K |
| 23430 | 12 | 20 | 10 | $1,230 | $18.5K |
| 99214 | 950 | 1,810 | 100 | $70 | $12.4K |
| 97110 | 481 | 480 | 410 | $20 | $10.9K |
| 99213 | 181 | 1,730 | 90 | $50 | $7.2K |
| 99204 | 652 | 780 | 30 | $100 | $4.8K |
| 20610 | 146 | 210 | 40 | $40 | $3.3K |
| 99203 | 29 | 700 | 30 | $70 | $3.1K |
| 29823 | 12 | 20 | 10 | $130 | $2.8K |
Showing 1–10 of 23
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 260 | $90 | $22.2K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 30 | $110 | $2.9K |
How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Montana median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 344 | 520 | 730 | $40 | $196.4K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 147 | 190 | 130 | $70 | $37.2K |
Other providers in the same ZIP code as Peter Kelleher, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Wojj Pediatric Dentistry | MT | Dental Clinic/Center | $0 | $3.3M |
| Smiles Across Montana | MT | Dental Hygienist | $0 | $1.9M |
| West Bozeman Surgery Center, LLC | MT | Ambulatory Surgical Clinic/Center | $1.9M | $55K |
| Psychiatry Associates PC | MT | Psychiatry Physician | $0 | $1.4M |
| Marc Comaratta | MT | Retina Specialist (Ophthalmology) Physician | $1.2M | $124.7K |
| Foundation Therapy Services Inc | MT | Speech-Language Pathologist | $0 | $1.1M |
| Lincare Inc. | MT | Durable Medical Equipment & Medical Supplies | $0 | $1M |
| Montana Psychiatry, PLLC | MT | Psychiatry Physician | $0 | $1M |
| Kenneth Olson | MT | Addiction Psychiatry Physician | $29.3K | $809.9K |
| Aaron Bruce | MT | Dermatology Physician | $682.7K | $0 |
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